Name
of Horse Interested in Fostering (or specify "most urgent"):
Name:
I am over 18:
E-mail Address:
Address:
City and State:
Zip Code:
Day Telephone:
Night
Telephone:
Cell
Telephone:
Best time to call:
Day
I am seeking to be:
Approved as a foster home
Approved as an adopter
Approved as both
If
you answered "both", are you looking to adopt a horse
now, or to simply foster?
Do you understand that this is a racehorse off the
track, has likely had only racing training, and that the horse will
need an experienced rider and someone capable of retraining him/her
as a riding horse?
Please explain your understanding of a racehorse's training
and what you believe will be required in order to successfully transition
the horse as a riding horse:
Will
the horse be kept at a boarding stable?
Will
the horse be kept on your property?
Name
and address of facility where horse will be stabled: (You
must fill this out even if it is the same address from above!)
Name of Stable
or Farm:
Address:
City,
State, and Zip:
Phone
Number:
Stable
Contact Name:
Rate
your experience (select one option on each line):
Riding
Horse
Care
I
have experience in working with horses recently off the track.
I will seek the guidance of an experienced professional trainer.
Name
and phone of your trainer:
Leave
this blank if you do not have a trainer.
Name:
Phone:
Name
and FAX number of your equine veterinarian for a reference:
NOTE:
**This MUST be a vet who has seen and treated a horse in
your care during the past 5 years. If you have not owned a horse
during that time frame, you may list a vet who has treated your
dog or cat. (Make sure you write "Companion Animal Vet"
after your vet's name if this is the case).
Please
do not list the vet you *intend* to use in the future - we cannot
use this for a reference!
THIS FIELD MUST BE COMPLETED OR YOUR APPROVAL CANNOT
BE PROCESSED. Contact is made with your reference veterinarian
by fax . YOU MUST call your veterinarian and advise
them that you are listing them as a reference. You should tell them
that CANTER, the racehorse rescue organization, will be contacting
them by fax.
NOTE: **Please DO NOT list
the vet phone number as the fax number unless they are the same
number! Forms with incorrect or missing fax numbers will not be
processed! **
Vet Name:
Vet Phone Number:
Vet Fax Number:
How
many other horses (besides the CANTER horse) are on the property?
Name and phone of your farrier for a reference:
Name:
Phone:
Describe the type of fencing the horse will be turned out in:
(Please
check all that apply)
Wood
3 or 4 board rail
Other
What
is the size of the turnout area (select one)?
Under an acre
Under 2 acres
Under
5 acres
Under 10 acres
Over 10 acres
Is
there a run-in shelter?
How
many horses (besides the CANTER horse) will share the turnout area?
Is
it a dirt turnout or grassy pasture?
Will the horse be pasture-boarded
only?
If
stalled, how many hours a day will the horse be turned out versus
in a stall?
Number hours
turned out:
When
first introduced to other horses, the new horse must NOT
be suddenly turned out with them. Is there a separate over-fence
paddock or pasture that can be used until the horse is acquainted
with others?
Yes
Explain:
Indicate your intended use for the horse (select all that apply):
(If breeding) What color are you breeding for?
(If breeding)
What breed/purpose are you breeding for?
Do
you have hands-on experience in caring for a broodmare/stallion
and foaling?
Please explain
your breeding experience:
You will be required to sign a Lifetime Bill of Sale Adoption Agreement at the time of
adoption. The adopted horse may never race again. Follow-up farm
visits may be performed if deemed necessary by CANTER. Although
you are allowed to sell, lease or transfer an adoptively placed
horse in the future (only after CANTER has approved the new home
through the standard approval process), the Lifetime Bill of Sale
Adoption Agreement remains in effect for the lifetime of the horse
and all new owners are bound by the conditions of this agreement.
The Lifetime Bill of Sale Adoption Agreement requires, among
other things, that CANTER be provided with a right of first refusal
in the event of transfer of this horse, and requires approval and
notification in writing of the new owner. CANTER New England requires
that ANY and ALL prospective new owners be appproved by us prior
to agreeing to the transfer of ownership of any adoptively placed
horse.
Do
you intend to transfer ownership of this horse after retraining
him/her?
Do you understand and agree to conditions that will be in
the the Lifetime Bill of Sale Adoption Agreement?
Have you ever sold a horse to a horse dealer that buys and sells
at auctions, or have you ever sold a horse through an auction?
If so, please explain.
Explain:
Additional info:
I acknowledge that inaccurate or false statements made on
this Adoption Application may void my approved status as a CANTER
adopter, and/or my adoption of any CANTER-owned horse, at a later
date. The information I am submitting is true and filling out the
following boxes will act as my legal signature:
Name/Signature
of Purchaser:
Date:
